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Abstract
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AIM: To analyze the data of 110 suicidal intervention hotline telephones, so as to explore the function of telephone consultation in suicide prevention, life salvation and crisis intervention.
METHODS: (1) 110 hotline telephones of suicidal crisis intervention in Chongqing from December 2003 to January 2005 were selected, including 58 males and 52 males, 95 persons aged 20-59 years, 12 ones < 20 years and 3 ones ≥ 60 years. (2) Counselors took synthetically all kinds of crisis intervention measures to the 110 clients including assessment of suicidal crisis, emotion catharsis, supporting interpretation, problem-solving (coping techniques and social support), educational cognition modification and suggested the clients for psychological counseling or therapy in hospital. (3) After 1 month of counseling, the 110 clients were revisited through tracking telephone to assess the satisfaction for helping by three grades: satisfactory, basically satisfactory and dissatisfactory according to the current status, changes of tone, acknowledgement or not, rang off carelessly or not and so on. (4) Comprehensive analysis on telephone data by quantitative and qualitative method: The initial content of hotline were evaluated by the clinical diagnosis method. All notes were categorized in layered coding by the retroactive content analysis method. Descriptive analysis and difference significance test of statistics method were adopted in finally result analysis. Comparison of result difference was performed by X2-test.
RESULTS: (1) Sex distribution: There was no significant difference in sex of suicides on the whole level; but there were significant differences in the age segment (X2=75.236, P < 0.01). Most of them were in the range of 20-50 years old (90 persons, 87%). (2) Age distribution: There were significant differences in the age of 40-49 years (X2=3.769, P < 0.05). Males were more than females. There were significant differences in the age segment between the male and female clients (X2=26.231, P < 0.01). Most of them were in the range of 20-50 years old, accounted for 83% and 81%. (3) Sex distribution in reasons for suicidal crisis: No significant difference was found in the various reasons for males; but there were significant differences in the females (X2=19.125, P <0.01), mainly focused on the emotion (33 times); significant differences were only found in emotion domain between male and female (X2=7.374, P < 0.01), and female was higher than the male (31, 13 times). There is significance difference in the emotional obsession. Females are more than males. (4) Age distribution in reasons for suicidal crisis: There were significant differences in the selection of various reasons between people aged 20-29 and 30-39 years (X2=13.304, 16.286, P < 0.01), the main reason for people aged 20-29 was emotional obsession and personality disorder, but those 30-39 years old was emotional obsession. The selection in personality disorder of different age groups differed significantly (X2= 16.824, P < 0.01), especially those of 20-29 years old. (5) Suicidal crisis: Among 110 persons, 88 (80%) were suicidal ideation; 18 (12%) were suicidal attempt, and 4 ones (4%) were uncommitted suicides. (6) Satisfaction for helping: 71 persons (84%) were satisfactory, 18 (35%) were basic satisfactory and 1 (1%) was dissatisfaction.
CONCLUSION: (1) There are suicidal crisis needing to be solved in male and female, who consider telephone consultation as one counseling pattern. (2) 20-50 years old is the peak stage for crisis, and they are more preferred telephone consultation. The males aged 40-49 years especially need the help of suicidal crisis intervention hotline. (3) The reason for suicidal crisis of females is mainly emotional obsession. (4) The reason for people aged 20-29 is emotional obsession and personality disorder, and for those 30-39 years old is emotional obsession. (5) Hotline telephone is a better means for suicide prevention.
Language: zh |